Online Invitation Form

This online form has been designed to provide you with a convenient way to invite Governor Rell to an event.  We ask for your patience as we cannot make commitments more than 30 days in advance of an event. 

Name of the Event

Date of the Event

Sponsoring Organization

Time of the Event

Location: Please provide the town and street address.

Directions to the Event: Please provide detailed directions to the event.

EVENT DESCRIPTION AND ROLE OF THE GOVERNOR IN THE EVENT

Please provide a brief description or outline of the event in addition to a formal or proposed agenda.

Please provide some basic information about the role of the Governor in the event.  For example, would you like her to serve as keynote speaker? Attend a groundbreaking? Take a tour? Meet with students?

ABOUT THE AUDIENCE

Please advise on the composition of the audience. For example, will the audience be businesspeople? Teachers? Employees? Are there any issues that are of interest to the audience that they would like the Governor to address?

Expected Number in Attendance
Select 1-10 10-30 30-60 60-100 100-200 200-500 500+

CONTACT INFORMATION

Your Name

Telephone Number

Mailing Address

E-Mail Address

Cell Phone Number

Fax Number